JACOB WESLEY BRUNNER

FAIRBANKS, AK
NPI1053116988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-02-14
Last Update Date2025-02-14
Business Address
JACOB WESLEY BRUNNER
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 575-999-5105
Mailing Address
JACOB WESLEY BRUNNER
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number:
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